ArticleCureus2026
Refractory Hyperkinetic Biliary Colic: A Case of Biliary Dyskinesia.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Biliary dyskinesia results from abnormal gallbladder motility, leading to a deviation from a physiologic biliary ejection fraction. It is classified into two types: hyperkinetic and hypokinetic. Hyperkinetic biliary dyskinesia is an uncommon condition that may present without symptoms. In clinical practice, some patients are noted to have elevated gallbladder ejection fractions, though only a minority are considered for intervention. Due to its rarity and variable presentation, there are currently no established guidelines for treatment. We present the case of a 48-year-old female with a year-long history of postprandial right upper quadrant (RUQ) pain, nausea, and weight loss, ultimately diagnosed with hyperkinetic biliary colic. Following a comprehensive evaluation, which included unremarkable imaging and a hepatobiliary iminodiacetic acid (HIDA) scan demonstrating 100% gallbladder ejection. In the following days, she underwent robotic-assisted cholecystectomy (RAC) with subsequent symptomatic improvement. This case highlights the diagnostic challenges, management considerations, and postoperative outcomes based on the detailed personal account in this rare clinical entity.
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